Individual
IVONNA MARIA SIUDELA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
417 CHARTIERS ST, BRIDGEVILLE, PA 15017-2033
(412) 221-8184
Mailing address
211 VALLEYVIEW DR, MC DONALD, PA 15057-2620
(412) 257-3007
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP034903L
PA
Other
Enumeration date
06/02/2010
Last updated
06/02/2010
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